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Lord K, Zimmerman J, Duff MC, Brown-Schmidt S. Memory for social media images following traumatic brain injury. Brain Inj 2023; 37:1334-1344. [PMID: 37902249 PMCID: PMC10842253 DOI: 10.1080/02699052.2023.2272902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 10/15/2023] [Indexed: 10/31/2023]
Abstract
PRIMARY OBJECTIVE An emerging body of research examines the role of computer-mediated communication in supporting social connection in persons with traumatic brain injury (TBI). We examine the cognitive impacts of engaging with images posted to social media for persons with moderate-severe TBI. RESEARCH DESIGN Prior work shows that after viewing social media posts, adults have better memory for posts when they generate a comment about the post. We examined if persons with TBI experience a memory benefit for commented-upon social media images similar to non-injured comparison participants. METHODS AND PROCEDURES 53 persons with moderate-to-severe TBI and 52 non-injured comparison participants viewed arrays of real social media images and were prompted to comment on some of them. After a brief delay, a surprise two-alternative forced choice recognition memory test measured memory for these images. MAIN OUTCOMES AND RESULTS Persons with TBI remembered social media images at above-chance levels and experienced a commenting-related memory boost much like non-injured comparison participants. CONCLUSIONS These findings add to a growing literature on the potential benefits of social media use in individuals with TBI and point to the benefits of active engagement for memory in social media contexts in TBI.
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Affiliation(s)
- Kaitlin Lord
- Vanderbilt University, Department of Psychology and Human Development
| | - Jordan Zimmerman
- Vanderbilt University, Department of Psychology and Human Development
- Harvard University, Department of Psychology
| | - Melissa C. Duff
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center
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2
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Chiaravalloti ND, Weber E, Dobryakova E, Botticello A, Goverover Y, Moore NB, DeLuca J. Kessler Foundation Strategy-Based Training to Enhance Memory (KF-STEM™): Study protocol for a single site double-blind randomized, clinical trial in Multiple Sclerosis. Contemp Clin Trials Commun 2022; 30:101026. [PMID: 36387993 PMCID: PMC9641172 DOI: 10.1016/j.conctc.2022.101026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/29/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022] Open
Abstract
New learning and memory impairments are common in Multiple Sclerosis (MS) and negatively impact everyday life, including occupational and social functioning. Despite the demand for learning and memory treatments, few cognitive rehabilitation protocols are supported by Class I research evidence, limiting the degree to which effective treatments may be utilized with persons with MS. The present double-blind, placebo controlled randomized clinical trial (RCT) examines the efficacy of an 8-session cognitive rehabilitation protocol encompassing training in the application of three strategies with the strongest empirical evidence (self-generation, spaced learning and retrieval practice) to treat impaired learning and memory in persons with MS, Kessler Foundation Strategy-based Training to Enhance Memory (KF-STEM™). A sample of 120 participants with clinically definite MS who have impairments in new learning and memory will be enrolled. Outcomes will be assessed via three mechanisms, an Assessment of Global Functioning, which examines everyday functioning and quality of life, a Neuropsychological Evaluation to examine objective cognitive performance, and functional Magnetic Resonance Imaging to examine the impact of treatment on patterns of cerebral activation. We will additionally evaluate the longer-term efficacy of KF-STEM™ on everyday functioning and neuropsychological assessment through a 6-month follow-up evaluation and evaluate the impact of booster sessions in maintaining the treatment effect over time. The methodologically rigorous design of the current study will provide Class I evidence for the KF-STEM™ treatment protocol for persons with MS.
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Voelbel GT, Lindsey HM, Mercuri G, Bushnik T, Rath J. The effects of neuroplasticity-based auditory information processing remediation in adults with chronic traumatic brain injury. NeuroRehabilitation 2021; 49:267-278. [PMID: 34420987 DOI: 10.3233/nre-218025] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Adults with chronic traumatic brain injury (TBI) may experience long-term deficits in multiple cognitive domains. Higher-order functions, such as verbal memory, are impacted by deficits in the ability to acquire verbal information. OBJECTIVE This study investigated the effects of a neuroplasticity-based computerized cognitive remediation program for auditory information processing in adults with a chronic TBI. METHODS Forty-eight adults with TBI were randomly assigned to an intervention or control group. Both groups underwent a neuropsychological assessment at baseline and post-training. The Intervention group received 40 one-hour cognitive training sessions with the Brain Fitness Program. RESULTS The intervention group improved in performance on measures of the Woodcock-Johnson-III Understanding Directions subtest and Trail Making Test Part-A. They also reported improvement on the cognitive domain of the Cognitive Self-Report Questionnaire. CONCLUSIONS The present study demonstrated that a neuroplasticity-based computerized cognitive remediation program may improve objective and subjective cognitive function in adults with TBI several years post-injury.
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Affiliation(s)
- Gerald T Voelbel
- Department of Occupational Therapy, New York University, New York, NY, USA.,Department of Rehabilitation Medicine, Rusk Rehabilitation at NYU Langone Health, New York, NY, USA
| | - Hannah M Lindsey
- Department of Psychology, New York University, New York, NY, USA.,Traumatic Brain Injury and Concussion Center, Department of Neurology, University of Utah, Salt Lake City, UT, USA
| | - Giulia Mercuri
- Department of Psychology, New York University, New York, NY, USA.,Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA
| | - Tamara Bushnik
- Department of Rehabilitation Medicine, Rusk Rehabilitation at NYU Langone Health, New York, NY, USA
| | - Joseph Rath
- Department of Rehabilitation Medicine, Rusk Rehabilitation at NYU Langone Health, New York, NY, USA
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Antiperovitch P, Gula L, Blissett S. Improving ECG interpretation through self-generation of diagnoses during practice: a randomized study. Can J Cardiol 2021; 37:1644-1647. [PMID: 34015465 DOI: 10.1016/j.cjca.2021.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/05/2021] [Accepted: 04/24/2021] [Indexed: 11/30/2022] Open
Abstract
While electrocardiogram (ECG) is a fundamental skill for most physicians, trainees have poor diagnostic performance when interpreting ECGs. In this study, we examine a strategy to improve learning ECG interpretation: self-generation of diagnoses during online practice. We randomly assigned medical students and residents to one of two ECG interpretation training formats: multiple-choice (MCQ) or self-generation format (SG) where participants free-text type their diagnosis aided by an auto-complete feature. The training phase consisted of 30 ECGs, after which, participants completed an immediate post-test and delayed post-test (3-4 weeks later). 48 participants completed the training module, 45 completed the immediate post-test and 27 completed the delayed post-test. Participants assigned to the SG format scored higher on the immediate post-test compared to those who practiced using the MCQ format with a large effect size (78 vs. 57%; d=0.94; p=0.02). There was a trend favouring SG on the delayed post-test with a moderate effect size (67 vs. 56%;d=0.65; p=0.09). However, only 60% of participants completed the delayed post-test, which hindered the detection of a statistically significant difference. The SG group made the correct primary diagnosis at a faster rate (32 vs. 56 seconds; p<0.001) but had a lower detection of secondary diagnoses (22 vs. 42%; p=0.007). Practicing ECG interpretation using self-generation of diagnoses improved immediate post-test performance and fluency. Replication in other contexts and with other populations is required to confirm our findings and to further study retention. BRIEF SUMMARY: In an effort to improve the teaching of ECG interpretation, the standard practice of multiple-choice questions was compared with self-generation of diagnoses in a prospective randomized control trial. Training using self-generation of diagnoses resulted in superior post-test performance and fluency when compared to training with multiple choice questions.
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Affiliation(s)
- Pavel Antiperovitch
- Department of Medicine, Division of Cardiology, London Health Sciences Centre, Western University, London, Ontario, Canada.
| | - Lorne Gula
- Department of Medicine, Division of Cardiology, London Health Sciences Centre, Western University, London, Ontario, Canada
| | - Sarah Blissett
- Department of Medicine, Division of Cardiology, London Health Sciences Centre, Western University, London, Ontario, Canada
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Schindler J, Richter T, Mar R. Does generation benefit learning for narrative and expository texts? A direct replication attempt. APPLIED COGNITIVE PSYCHOLOGY 2021. [DOI: 10.1002/acp.3781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Julia Schindler
- Department of Psychology IV University of Würzburg Würzburg Germany
| | - Tobias Richter
- Department of Psychology IV University of Würzburg Würzburg Germany
| | - Raymond Mar
- Department of Psychology York University Toronto Ontario Canada
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Fleming J, Tsi Hui Goh A, Lannin NA, Ownsworth T, Schmidt J. An exploratory study of verbal feedback on occupational performance for improving self‐awareness in people with traumatic brain injury. Aust Occup Ther J 2020; 67:142-152. [DOI: 10.1111/1440-1630.12632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 08/29/2019] [Accepted: 11/05/2019] [Indexed: 01/30/2023]
Affiliation(s)
- Jennifer Fleming
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia
- School of Allied Health La Trobe University Melbourne Vic Australia
| | - Amelia Tsi Hui Goh
- School of Health and Rehabilitation Sciences The University of Queensland Brisbane Qld Australia
| | - Natasha A. Lannin
- Department of Neurosciences Monash University Melbourne Vic Australia
- Occupational Therapy Department Alfred Health Melbourne Vic Australia
- Faculty of Medicine John Walsh Centre for Rehabilitation ResearchUniversity of Sydney Sydney NSW Australia
| | - Tamara Ownsworth
- School of Applied Psychology and Menzies Health Institute Queensland Griffith University Brisbane Qld Australia
| | - Julia Schmidt
- School of Allied Health La Trobe University Melbourne Vic Australia
- Occupational Science and Occupational Therapy Department University of British Columbia Vancouver BC Canada
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Chiaravalloti ND, Moore NB, Weber E, DeLuca J. The application of Strategy-based Training to Enhance Memory (STEM) in multiple sclerosis: A pilot RCT. Neuropsychol Rehabil 2019; 31:231-254. [PMID: 31752604 DOI: 10.1080/09602011.2019.1685550] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
New learning and memory (NLM) impairments are common in multiple sclerosis (MS), negatively impacting daily life. Few studies seek to remediate these deficits to improve everyday functioning. Self-generation, spaced learning and retrieval practice have been shown to improve NLM in healthy persons and have been incorporated into an 8-session treatment protocol, Strategy-based Training to Enhance Memory (STEM). STEM teaches participants about each of the techniques, how to apply them in daily life and provides practice. Participants are taught to restructure a memory-demanding situation to optimize self-generation, spaced learning and retrieval practice. This pilot double-blind, placebo-controlled, randomized clinical trial (RCT) tested the efficacy of STEM in 20 learning-impaired participants with clinically definite MS (9 treatment, 11 control). Significant treatment effects were noted on self-report measures of daily functioning (primary outcome). Objective neuropsychological testing approached significance, showing a medium-large effect on verbal NLM. Results suggest that STEM may improve everyday functioning in individuals with MS. A full-scale RCT is warranted to validate findings in a larger sample so that findings may be generalized to the broader MS community.
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Affiliation(s)
- Nancy D Chiaravalloti
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - Nancy B Moore
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA
| | - Erica Weber
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - John DeLuca
- Kessler Foundation Neuropsychology and Neuroscience Laboratory, East Hanover, NJ, USA.,Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, NJ, USA.,Department of Neurology, Rutgers New Jersey Medical School, Newark, NJ, USA
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8
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Costa SL, Dapor C, Weber E, DeLuca J, Chiaravalloti ND. Comparing learning performance on the open trial selective reminding test with the California verbal learning test II in traumatic brain injury. Brain Inj 2019; 34:245-252. [PMID: 31680557 DOI: 10.1080/02699052.2019.1686772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Introduction: Learning and memory deficits are prevalent following moderate to severe traumatic brain injury (TBI), affecting between 54% and 84% of impacted individuals.Objective: The current study examined learning performance on two tests of verbal memory: the OT-SRT and the CVLT-II.Methods: Sixty-eight participants with TBI performed the OT-SRT and the CVLT-II on two different days. Additionally, all participants completed cognitive tests assessing processing speed, working memory and executive functions. By definition, all participants with TBI were identified as having impaired learning on the OT-SRT, however only 38 were also identified as impaired on the CVLT-II. The sample was thus divided into two groups, those who failed both tests (Fail-2) and those who failed only the OT-SRT (Fail-1).Results: The Failed-1 group showed significantly better performance in processing speed, working memory and executive functions compared to the Fail-2 group. On the CVLT-II, the Fail-1 group performed significantly better on the number of words recalled on trials 1 and 5 compared to the Fail-2 group. Both groups performed similarly the OT-SRT.Discussion: The CVLT-II and the OT-SRT are not equivalent tests and should not be used interchangeably.
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Affiliation(s)
- Silvana L Costa
- Neuropsychology and Neuroscience Lab, Kessler Foundation, East Hanover, NJ, USA.,Department of Physical Medicine & Rehabilitation, Rutgers the State University, Newark, NJ, USA
| | - Caterina Dapor
- Neurology Section, Department of Neuroscience, Biomedicine and Movements Sciences, University of Verona, Verona, Italy
| | - Erica Weber
- Neuropsychology and Neuroscience Lab, Kessler Foundation, East Hanover, NJ, USA.,Department of Physical Medicine & Rehabilitation, Rutgers the State University, Newark, NJ, USA
| | - John DeLuca
- Neuropsychology and Neuroscience Lab, Kessler Foundation, East Hanover, NJ, USA.,Department of Physical Medicine & Rehabilitation, Rutgers the State University, Newark, NJ, USA
| | - Nancy D Chiaravalloti
- Neuropsychology and Neuroscience Lab, Kessler Foundation, East Hanover, NJ, USA.,Department of Physical Medicine & Rehabilitation, Rutgers the State University, Newark, NJ, USA
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9
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The Effects of Moderate-to-Severe Traumatic Brain Injury on Episodic Memory: a Meta-Analysis. Neuropsychol Rev 2019; 29:270-287. [DOI: 10.1007/s11065-019-09413-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Accepted: 07/30/2019] [Indexed: 12/22/2022]
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10
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Burns SP, Dawson DR, Perea JD, Vas AK, Pickens ND, Marquez de la Plata C, Neville M. Associations between self-generated strategy use and MET-Home performance in adults with stroke. Neuropsychol Rehabil 2019; 30:1543-1557. [PMID: 31018105 DOI: 10.1080/09602011.2019.1601112] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Self-generated strategy use has substantial potential for improving community living outcomes in adults with impaired executive function after stroke. However, little is known about how self-generated strategies support task performance in people with post-stroke executive function impairments living in the community. We explored strategy use among home-dwelling persons with stroke and neurologically-healthy control participants during the Multiple Errands Test-Home Version (MET-Home), a context-specific assessment with evidence of ecological validity designed to examine how post-stroke executive dysfunction manifests during task performance in the home environment. For persons with stroke, significant associations were identified between planning and tasks accurately completed on the MET-Home. Significant associations were also identified among the control participants for self-monitoring, multitasking, and "using the environment" strategies. These associations are related to enhanced MET-Home performance on sub-scores for levels of accuracy, passes, and total time. Rehabilitation interventions that focus on reinforcing self-generated strategy use may support community living outcomes in persons with post-stroke executive function impairments, but this area needs additional investigation.
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Affiliation(s)
- Suzanne P Burns
- School of Occupational Therapy, Texas Woman's University, Denton, TX, USA
| | - Deirdre R Dawson
- Rotman Research Institute, Baycrest Health Sciences, Toronto, ON, Canada.,Department of Occupational Science and Occupational Therapy and Rehabilitation Science Institute, University of Toronto, Toronto, ON, Canada
| | | | - Asha K Vas
- School of Occupational Therapy, Texas Woman's University, Dallas, TX, USA
| | | | | | - Marsha Neville
- School of Occupational Therapy, Texas Woman's University, Dallas, TX, USA
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Libeson L, Downing M, Ross P, Ponsford J. The experience of return to work in individuals with traumatic brain injury (TBI): A qualitative study. Neuropsychol Rehabil 2018; 30:412-429. [DOI: 10.1080/09602011.2018.1470987] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
- Lauren Libeson
- School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Marina Downing
- School of Psychological Sciences, Monash University, Melbourne, Australia
- Department of Rehabilitation, Psychology and Psychotherapy, Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia
| | | | - Jennie Ponsford
- School of Psychological Sciences, Monash University, Melbourne, Australia
- Department of Rehabilitation, Psychology and Psychotherapy, Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia
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12
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Foster ER, Spence D, Toglia J. Feasibility of a cognitive strategy training intervention for people with Parkinson's disease. Disabil Rehabil 2017. [PMID: 28637142 DOI: 10.1080/09638288.2017.1288275] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
PURPOSE To investigate the feasibility of a novel client-centered cognitive strategy training intervention for people with Parkinson's disease (PD). MATERIALS AND METHODS This was a case series of seven people with PD without dementia but with subjective cognitive decline. The intervention involved ≥5 treatment sessions at the participant's home. Participant acceptance and engagement were assessed by the Credibility/Expectancy Questionnaire (CEQ), Client Satisfaction Questionnaire (CSQ), enjoyment and effort ratings, and homework completion. Logistical information was tracked, and the Canadian Occupational Performance Measure (COPM) was an exploratory outcome measure. Data analysis was descriptive. RESULTS CEQ scores were positive and increased over time. CSQ scores were high (M = 30.8, SD = 0.75), with all participants rating all items positively. Almost all (95%) effort and enjoyment ratings were ≥3 (Much), and homework completion rates averaged 84% (SD = 18). Intervention duration was 6-15 weeks (M = 9.2, SD = 2.8), with treatment sessions averaging 1.7 h (SD = 0.5). Group and most individual COPM ratings improved ≥2 points. CONCLUSIONS These findings support the feasibility of the intervention for people with PD. It was acceptable, engaging, and promising in terms of its effect on self-identified functional cognitive problems. Implications for Rehabilitation People with Parkinson's disease (PD) without dementia can experience cognitive decline that negatively impacts function and quality of life. Strategy-based interventions that explicitly train for transfer may mitigate the negative functional consequences of cognitive decline in this population. We developed a client-centered cognitive strategy training intervention for people with PD. This small case series supports its feasibility, indicating that it is acceptable and engaging for people with PD and promising in terms of its effect on self-identified functional cognitive problems.
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Affiliation(s)
- Erin R Foster
- a Program in Occupational Therapy , Washington University in School of Medicine , St. Louis , MO , USA.,b Department of Neurology , Washington University in School of Medicine , St. Louis , MO , USA.,c Department of Psychiatry , Washington University in School of Medicine , St. Louis , MO , USA
| | - Daniel Spence
- a Program in Occupational Therapy , Washington University in School of Medicine , St. Louis , MO , USA
| | - Joan Toglia
- d School of Health and Natural Sciences , Mercy College , Dobbs Ferry , NY , USA
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Radomski MV, Anheluk M, Bartzen MP, Zola J. Effectiveness of Interventions to Address Cognitive Impairments and Improve Occupational Performance After Traumatic Brain Injury: A Systematic Review. Am J Occup Ther 2016; 70:7003180050p1-9. [DOI: 10.5014/ajot.2016.020776] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
OBJECTIVE. To determine the effectiveness of interventions addressing cognitive impairments to improve occupational performance for people with traumatic brain injury.
METHOD. A total of 37 studies met inclusion criteria: 9 Level I systematic reviews, 14 Level I studies, 5 Level II studies, and 9 Level III studies.
RESULTS. Strong evidence supports use of direct attention training, dual-task training, and strategy training to optimize executive functioning, encoding, and use of memory compensations, including assistive technology. However, in most studies, occupational performance was a secondary outcome, if it was evaluated at all.
CONCLUSION. Although evidence supports many intervention approaches used by occupational therapy practitioners to address cognitive impairments of adults with traumatic brain injury, more studies are needed in which occupational performance is the primary outcome of cognitive intervention.
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Affiliation(s)
- Mary Vining Radomski
- Mary Vining Radomski, PhD, OTR/L, FAOTA, is Senior Scientific Adviser, Courage Kenny Research Center, Minneapolis, MN;
| | - Mattie Anheluk
- Mattie Anheluk, MAOT, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Abbott Northwestern Hospital, Minneapolis, MN
| | - M. Penny Bartzen
- M. Penny Bartzen, OTD, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Buffalo Hospital, Buffalo, MN
| | - Joette Zola
- Joette Zola, BS, OTR/L, is Occupational Therapist, Courage Kenny Rehabilitation Institute–Abbott Northwestern Hospital, Minneapolis, MN
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Stephens JA, Williamson KNC, Berryhill ME. Cognitive Rehabilitation After Traumatic Brain Injury: A Reference for Occupational Therapists. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2015; 35:5-22. [PMID: 26623474 DOI: 10.1177/1539449214561765] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Nearly 1.7 million Americans sustain a traumatic brain injury (TBI) each year. These injuries can result in physical, emotional, and cognitive consequences. While many individuals receive cognitive rehabilitation from occupational therapists (OTs), the interdisciplinary nature of TBI research makes it difficult to remain up-to-date on relevant findings. We conducted a literature review to identify and summarize interdisciplinary evidence-based practice targeting cognitive rehabilitation for civilian adults with TBI. Our review summarizes TBI background, and our cognitive remediation section focuses on the findings from 37 recent (since 2006) empirical articles directly related to cognitive rehabilitation for individuals (i.e., excluding special populations such as veterans or athletes). This manuscript is offered as a tool for OTs engaged in cognitive rehabilitation and as a means to highlight arenas where more empirical, interdisciplinary research is needed.
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Clark-Wilson J, Giles GM, Baxter DM. Revisiting the neurofunctional approach: conceptualizing the core components for the rehabilitation of everyday living skills. Brain Inj 2014; 28:1646-56. [PMID: 25153760 PMCID: PMC4266071 DOI: 10.3109/02699052.2014.946449] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2013] [Revised: 02/08/2014] [Accepted: 06/30/2014] [Indexed: 11/13/2022]
Abstract
BACKGROUND Introduced in the 1980s, the neurofunctional approach (NFA) is one of the few interventions designed primarily for clients with severe deficits following traumatic brain injury (TBI). Specifically the NFA was intended for those individuals who were limited in their ability to solve novel problems or generalize skills from one setting to another and whose lack of insight limited their engagement in the rehabilitative process. DESCRIPTION OF THE APPROACH: The NFA is a client-centred, goal-driven approach that incorporates the principles of skill learning and promotes the development of routines and competencies in practical activities required for everyday living. Programmes based on the NFA are developed specifically to meet each client's unique needs, using a range of evidence-based interventions. RECENT EVIDENCE: Recently the NFA has been found to be more effective than cognitive-retraining for some individuals with moderate-to-severe TBI who have deficits in activities of daily living. This paper aims to define the core features of the NFA, outline the theoretical basis on which it is founded and consider implications of the findings for rehabilitation after TBI in general. The NFA is highly relevant for clients living in the community who require a case manager to direct an integrated, rehabilitation programme or provide structured input for the long-term maintenance of skills.
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Affiliation(s)
- Jo Clark-Wilson
- Managing Partner, Occupational Therapist and Case ManagerHead First, HawkhurstKentUK
| | - Gordon Muir Giles
- Director of Neurobehavioral services, Crestwood Treatment CenterFremont, CAUSA
- Professor, Department of Occupational Therapy, Samuel Merritt UniversityOakland, CAUSA
| | - Doreen M. Baxter
- Consultant Clinical Neuropsychologist, Head FirstHawkhurst, KentUK
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Doucet BM, Woodson A, Watford M. Moving Toward 2017: Progress in Rehabilitation Intervention Effectiveness Research. Am J Occup Ther 2014; 68:e124-48. [DOI: 10.5014/ajot.2014.011874] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Halfway into the 10-yr American Occupational Therapy Association Centennial Vision initiative, occupational therapy has made notable progress in establishing itself as a science-driven profession. Through the diligent work of many talented occupational therapy scholars, 42 research studies exploring interventions used in rehabilitation research were published in the past 5 years. A variety of both novel and established intervention strategies were investigated using diverse research designs and measurement tools. A predominant number of studies were conducted with the poststroke population. Moving forward to 2017 and building on our success, we can recognize our full potential by fostering knowledge translation, expanding participant numbers, exploring less-studied populations, increasing the volume of systematic reviews published, and reporting occupation-centered outcomes, the unique and defining component of our profession.
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Affiliation(s)
- Barbara M. Doucet
- Barbara M. Doucet, OTR, PhD, is Assistant Professor, Louisiana State University Health Science Center, School of Allied Health Professions, Department of Occupational Therapy, 1900 Gravier Street, New Orleans, LA 70112;
| | - Anne Woodson
- Anne Woodson, OTR, is Adjunct Faculty, University of Texas Medical Branch, Galveston
| | - Monica Watford
- Monica Watford, MA, OTR, is Doctoral Candidate, University of Texas Medical Branch, Galveston
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17
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Rao AK. Occupational therapy in neurological disorders: looking ahead to the American Occupational Therapy Association's centennial vision. Am J Occup Ther 2012; 66:e119-30. [PMID: 23106997 PMCID: PMC3665413 DOI: 10.5014/ajot.2012.005280] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The Centennial Vision articulated by the American Occupational Therapy Association includes moving the profession to being science driven and evidence based. The American Journal of Occupational Therapy contributes to this vision by publishing high-quality research. I reviewed research in the practice area of neurological rehabilitation published between May 2010 and October 2011. In particular, I reviewed effectiveness and efficacy studies, instrument development and testing, and basic research studies. Concerns emerging from the review were (1) few studies in neurological rehabilitation; (2) many disorders not represented; (3) exclusive use of impairment-level outcomes in some studies; and (4) high preponderance of case series designs in effectiveness studies. To achieve the Centennial Vision, the field needs to improve the volume and diversity of research in neurological rehabilitation. It is also important to modify academic and clinical practice to enable occupational therapists to spend more time in producing high-quality evidence to support the crucial role they play in neurological rehabilitation.
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Affiliation(s)
- Ashwini K Rao
- Department of Rehabilitation and Regenerative Medicine and G. H. Sergievsky Center, Columbia University, New York, NY, USA.
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Hsieh MY, Ponsford J, Wong D, Schönberger M, McKay A, Haines K. Development of a motivational interviewing programme as a prelude to CBT for anxiety following traumatic brain injury. Neuropsychol Rehabil 2012; 22:563-84. [DOI: 10.1080/09602011.2012.676284] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Wolf TJ. Rehabilitation, Disability, and Participation Research: Are Occupational Therapy Researchers Addressing Cognitive Rehabilitation After Stroke? Am J Occup Ther 2011. [DOI: 10.5014/ajot.2011.002089] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
I reviewed articles published in the American Journal of Occupational Therapy (AJOT) in 2009 and 2010 to assess (1) whether research was published in the practice area of rehabilitation, disability, and participation and (2) the evidence being produced in an underdeveloped subcategory of this practice area: cognitive rehabilitation after stroke. The review revealed one intervention effectiveness study that addressed cognitive rehabilitation poststroke published in the 2-year period. Further analysis of outside repositories of evidence in this area revealed that although some evidence supports rehabilitation approaches for people with cognitive dysfunction after a stroke, little research has been devoted to this practice area. The poststroke cognitive intervention approaches in use have been shown to have little or no effect on improving everyday life activity. Occupational therapy has a key research and practice role with the poststroke population, and occupational therapists should be at the forefront in developing the science to support the effectiveness of their services.
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Affiliation(s)
- Timothy J. Wolf
- Timothy J. Wolf, OTD, MSCI, OTR/L, is Assistant Professor, Program in Occupational Therapy and Department of Neurology, Washington University School of Medicine, St. Louis, MO 63108;
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